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Individual
LEE WENTWORTH
Active
Individual
LEE WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A054600619
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
07/29/2026
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